Abstract
Background
The Finnish National Programme for Chronic Bronchitis and Chronic Obstructive Pulmonary Disease (COPD) 1998–2007 was set up to reduce the prevalence of COPD, improve COPD diagnosis and care, reduce the number of moderate to severe cases of the disease, and reduce hospitalisations and treatment costs due to COPD. Over 900 events for 25,000 participating healthcare workers were arranged. The major strengths of this programme included multidisciplinary strategies and web-based guidelines in nearly all primary health care centres around the country.
Methods
Data from national registries, epidemiological studies and questionnaires were used to measure whether the goals had been reached.
Results
The prevalence of COPD remained unchanged. Smoking decreased in males from 30% to 26% (p<0.001) and in females from 20% to 17% (p<0.001). Significant improvements in the quality of spirometry were obtained. Hospitalisation decreased by 39.7% (p<0.001). COPD costs were 88% lower than had been anticipated from earlier investigations. No increase in COPD mortality was observed.
Conclusions
In combination with other efforts, the Finnish 10-year COPD Programme had significant positive consequences: no further increases in COPD prevalence, reduced smoking prevalence, improved quality of diagnosis, and reduction in COPD-related hospitalisations.
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None of the authors have any conflict of interest, financial involvement or stock ownership with any aspect discussed in the manuscript. This paper has not been funded by the tobacco industry No writing assistance has been utilised in the preparation of this manuscript.
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Kinnula, V., Vasankari, T., Kontula, E. et al. The 10-year COPD Programme in Finland: effects on quality of diagnosis, smoking, prevalence, hospital admissions and mortality. Prim Care Respir J 20, 178–183 (2011). https://doi.org/10.4104/pcrj.2011.00024
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DOI: https://doi.org/10.4104/pcrj.2011.00024
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